Healthcare Provider Details

I. General information

NPI: 1437854510
Provider Name (Legal Business Name): DONNA KHUE NGUYEN DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 N BEDFORD DR STE 305
BEVERLY HILLS CA
90210-4320
US

IV. Provider business mailing address

1832 S BARRINGTON AVE APT 404
LOS ANGELES CA
90025-5897
US

V. Phone/Fax

Practice location:
  • Phone: 310-271-6996
  • Fax:
Mailing address:
  • Phone: 740-274-2405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95022917
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: